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HomeMy WebLinkAboutPermit Electrical 1993-11-18 . .t SPRINGFIELD , . - Thelollowlng proJect a. submitted h8a the following . 225 .FIFTH STREET .Ill";n.. snd doss nol require specific lend uSOELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974/J(,proval. 9 ./ INSPECTION REQUEST: 726-3769_. ""1) e Ci ty Job Nlimber. -=)(J<2>"7~ I OFFICE: . 726-3759 ",omn9_ ' _ D'\'~_~LSJ~ I" _ 3. COMPLETE FEE SCHEDULE BELOV 1. LqCATION)>1 INSTALLAT;lON <t- ~ -<?I~ :;)~C:- Ni2-?<U'.:J::f I~(~izad Sign"\Ur5'; A-:--Neli I\esluential-Single or . ./ Multi-Family per dwelling unit. LEGAL. DESCRIPTION Service Included: I~/J:? 24 ,~:s :2019 Items Cost Sum JOB DESCRIPTION S,..0UJ. (?k..A.<' f> ~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contracto~~~~AJ l1'~~ Address 1'72. S~ &_~ City ?;./'f . Phone ~((:?-J-J-vS- Supervisor Licen.se Number <'0 I" 7 S Expiration Date /c:;~ 1- 9"-/ Constr Contr. Number l..( 2 S-S-o Expiration Date /C1/"" / - ;J </ .. Sign~ture of superv;p-ng~ectrician-:> /:2..u_ ~~.- / Owners Name Address SA'~ " --. ~ :'1' . City Phone OVNER INSTALLATION , : " The installation is being made, on property I own which is not intended for sale, lease or rent. ~ .I Owners Signature: --------------------------------------- DATE: RECEIPT. 11: RECEIVED BY: 11'( e" q3 ID'I38 ':J i'l<1 rtttJl. \ I 1000 sq,ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home o~ Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only &- ,$ 50.00 V $ 60.00 $100.00 $130.00 $300,00 $ 40.00 /tPt7 .~ .taLA ao C. Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100u $ 40.00 $ 55.00 $ 80,00 volts see "8" above D. Branch Ci rcui ts ) New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Serv~ '7 or Feeder Permi t I/!!E;;;,/ $ 2.00 ~ not inc{X::; E. Miscellaneous (Service/feeder -Each installation I Pump ~r irrigation ~ign(O~tli~e Lighting timite& Energy/Res Limited Energy/Comm $ 40.00 $ 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL . /' (fA) . . 17i'~ . 70 .~ ~ c .. f; /gJ,,70 , 1_ L!~ :2 - Zem-liJ) . ~ --- " , t 1 f J ., /( , ( \ 1-2s. - / ~ .~ j~1 /: .' ) , L----1 ;1 ""or .p ~p ~~ gR' ~& W' J v.\)\ . eo - ~ .r ,." :tf4 /" ~ . F-~Wup"~l)f 6, E>-:6 \ ~ J ( . ----r--- " ' , .